NPIMap

Individual provider Active NPI

Thomas A Olexa, MD

  • Orthopaedic Surgery Physician
  • Sandusky, OH
National Provider Identifier
1144201088
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35076370 Issued in OH
Practice address
1401 Bone Creek Dr
Sandusky, OH 44870
Phone
(419) 625-4900
Fax
(419) 621-9768
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35076370 OH Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35-076370-O OH

Addresses

Primary practice location

1401 Bone Creek Dr
Sandusky, OH 44870

Mailing address

1401 Bone Creek Dr
Sandusky, OH 44870
Phone (419) 625-4900

Other identifiers 1

IdentifierTypeStateIssuer
2218433MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000666 OH Practitioner - Orthopedic Surgery 4385771765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Toledo Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLC 105 clinicians

Practice addresses (Care Compare)

1401 Bone Creek Dr
Sandusky, OH 44870-7267
Phone (419) 625-4900

Hospital & facility affiliations

  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-076370-OOHMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jan 1, 2017 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jan 1, 2017 Accepting new patients
University of Toledo Physicians LLC Orthopaedic Surgery Past Accepting new patients
University of Toledo Physicians, LLC Past Accepting new patients

Locations

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1031 Pierce St
Sandusky, OH 44870
Phone (419) 557-5541

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1401 Bone Creek Dr
Sandusky, OH 44870
Phone (419) 621-0035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4
  • Direct secure messaging: thomas.olexa@fpg.medicity.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1144201088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BONE CREEK DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-625-4900",
            "fax_number": "419-621-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEXA",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35076370",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35-076370-O",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218433",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.